scholarly journals Traumatic cataract with linear anterior lens capsular rupture and zonular dehiscence in a child

2021 ◽  
Vol 59 (1) ◽  
pp. 109
Author(s):  
Sharmila Rajendrababu ◽  
VijayalakshmiA Senthilkumar
2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Wenjuan Wan ◽  
Ke Hu ◽  
Yan Ji ◽  
Can Li

Purpose. To investigate the optimal strategy for surgical management of traumatic cataract with posterior capsular rupture. Methods. We describe four cases of traumatic cataract with posterior capsular rupture and an in vitro model built to evaluate the optimal infusion pressure during surgery. Results. All patients underwent cataract surgery. By using an anterior chamber maintainer to elevate infusion pressure, we safely performed cataract extraction without phacoemulsification. At 3 days after surgery, visual acuity was greater than 20/25 in all patients, without any complications. Phacoemulsification would also be feasible under anterior chamber maintainer infusion in a similar case of traumatic cataract with posterior capsular rupture during intravitreal injection. In addition, an in vitro model that we established using pig’s eyes revealed that the anterior chamber remained stable when the height of infusion bottle was 50–90 mmHg, whereas shallowing of the anterior chamber occurred when the height of infusion bottle was reduced to 40 mmHg, and corneal edema occurred when the height of infusion bottle was raised to 100 mmHg. Conclusions. During management of traumatic cataract with posterior capsular rupture, using an anterior chamber maintainer to maintain optimal infusion pressure may reduce the risk of anterior hyaloid membrane breakup and vitreous loss.


2022 ◽  
Vol 7 (4) ◽  
pp. 707-711
Author(s):  
Sumaiya Hasan ◽  
Dheerendra Singh ◽  
Neha Singh Jat ◽  
Vivek Paul Buddhe

To study epidemiology, biometry and visual outcomes (with or without posterior capsulorhexis) in cases of pediatric traumatic cataract. This was a prospective observational study conducted on 30 children of traumatic cataract belonging to an age group of less than 16 years. All patients were subjected to detailed history and ocular examination. Patients underwent cataract surgery with or without intraocular lens (IOL) implantation. Posterior capsulorhexis with posterior optic capture was done in all patients presenting with primary posterior capsular opacity. All patients were followed up till 6 months and surgical outcomes in terms of Best Corrected Visual Acuity (BCVA), and visual axis opacification (VAO) were observed. Firecracker injury was found to be the most common causal agent, followed by arrow and ball injuries. Males were more commonly injured than females (70%:30%). Open-globe injury was more frequent than closed globe injury (CGI) (53.3%:46.7%). Anterior capsular rupture was the most frequent preoperative complication. Mean axial length was 22.53 which was not significantly different from the fellow eye. 3 patients were left aphakic, 10 patients underwent single piece IOL implantation and 16 patients underwent multipiece IOL implantation. Anterior chamber IOL (ACIOL) was implanted in one case. Intraoperatively 6 patients were found to have posterior capsular plaque and were implanted with multipiece IOL with posterior optic capture. Visual acuity significantly improved in 21 out of 30 eyes from baseline after cataract surgery (p<0.001). 9 patients (30%) had posterior capsular opacification (PCO) on follow up. Posterior capsular opacity in pediatric traumatic cataracts can be effectively managed with posterior capsulorhexis and posterior optic capture.


Author(s):  
Dr. Mita V. Joshi ◽  
Dr. Sudhir Mahashabde

All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case. Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6. Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6. Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case. The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract. Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.


2013 ◽  
Vol 41 (1) ◽  
pp. 97-99
Author(s):  
N. Bobrova ◽  
◽  
A. Dembovetskaya ◽  
L. Levitskiy ◽  
◽  
...  

2021 ◽  
Vol 9 (9) ◽  
Author(s):  
Bharat Gurnani ◽  
Kirandeep Kaur ◽  
Subhashini Sekaran

2011 ◽  
Vol 152 (2) ◽  
pp. 229-233 ◽  
Author(s):  
Carolyn E. Kloek ◽  
Michael T. Andreoli ◽  
Christopher M. Andreoli

2017 ◽  
Vol 8 ◽  
pp. 3-4
Author(s):  
Brian C. Fiore ◽  
Nicolay F. Hernandez ◽  
Jeffrey Lazar

2019 ◽  
Vol 45 (1) ◽  
pp. 8-10
Author(s):  
Somya Chowdhary ◽  
Ken K. Nischal

2011 ◽  
Vol 37 (7) ◽  
pp. 1360-1362 ◽  
Author(s):  
Jennifer Y. Li ◽  
Michele C. Lim ◽  
Mark J. Mannis
Keyword(s):  

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